| Jack R Reid Jr, MD | |
|
5000 Odonavan Blvd Ste 307, Walker, LA 70785-6355 | |
| (225) 791-3117 | |
| (225) 791-3122 |
| Full Name | Jack R Reid Jr |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 41 Years |
| Location | 5000 Odonavan Blvd Ste 307, Walker, Louisiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518968262 | NPI | - | NPPES |
| 1928135 | Medicaid | LA | |
| P00335585 | Other | LA | RAILROAD MCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | L018291 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Audubon Home Health | Baton rouge, LA | Home health agency |
| Amedisys Home Health | Baton rouge, LA | Home health agency |
| Pinnacle Home Health Of Baton Rouge | Baton rouge, LA | Home health agency |
| Our Lady Of The Lake Regional Medical Center | Baton rouge, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Our Lady Of The Lake Physician Group Llc | 4587849781 | 632 |
| Entity Name | Our Lady Of The Lake Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033494943 PECOS PAC ID: 4587849781 Enrollment ID: O20120529000377 |
| Mailing Address | Practice Location Address |
|---|---|
| Jack R Reid Jr, MD Po Box 877, Denham Springs, LA 70727-0877 Ph: (225) 791-3117 | Jack R Reid Jr, MD 5000 Odonavan Blvd Ste 307, Walker, LA 70785-6355 Ph: (225) 791-3117 |
Catherine Caldwell Spiller, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5000 O Donovan Blvd, Suite 404, Walker, LA 70785 Phone: 225-765-5500 Fax: 225-369-8140 |